Inflammatory bowel disease and hepatitis B and C in Western Balkans: a referral centre study and review of the literature
Φόρτωση...
Ημερομηνία
Συγγραφείς
Katsanos, K. H.
Tsianos, V. E.
Zois, C. D.
Zioga, H.
Vagias, I.
Zervou, E.
Christodoulou, D. K.
Tsianos, E. V.
Τίτλος Εφημερίδας
Περιοδικό ISSN
Τίτλος τόμου
Εκδότης
Περίληψη
Τύπος
Είδος δημοσίευσης σε συνέδριο
Είδος περιοδικού
peer-reviewed
Είδος εκπαιδευτικού υλικού
Όνομα συνεδρίου
Όνομα περιοδικού
J Crohns Colitis
Όνομα βιβλίου
Σειρά βιβλίου
Έκδοση βιβλίου
Συμπληρωματικός/δευτερεύων τίτλος
Περιγραφή
BACKGROUND AND AIMS: There is limited data on IBD patients diagnosed with viral hepatitis B and C. The aim of the study was to assess the prevalence of chronic HBV or HCV infection in IBD patients followed by our centre and to describe and review the course of bowel and liver disease during therapy. METHODS: Single centre retrospective study on 482 consecutive IBD patients. Laboratory investigation for HBV and HCV was performed with routine methods. Treatment protocols for HBV included IFNa and nucleot(s)ide administration and for HCV combined IFNa and ribavirin. RESULTS: We diagnosed 15 patients (15/482, 3.1%) with HBV or HCV. Of these, 11 were HBV (11/482, 2.3%) and 4 were HCV (4/482, 0.8%). Nine of eleven HBV patients received antiviral therapy (8 lamivudine, 1 IFNa). Five lamivudine patients were switched to tenofovir and in another one adefovir dipivoxil were added. Bowel disease was in remission in ten of the eleven HBV patients. One patient was diagnosed with carcinoid tumor. Two HCV patients received IFNa that was well tolerated. One HCV patient denied therapy and one died from hepatocellular cancer. Of the seven patients on azathioprine only one achieved sustained response. Four patients on Infliximab achieved bowel disease remission but experienced biochemical or virological flare. CONCLUSIONS: This study demonstrates that prevalence of HBV and HCV infection in a large IBD cohort from Western Balkans is compared to that of the background population. IBD patients under immunosuppressants may apparently be treated with safety if preventive antiviral treatment is administered.
Περιγραφή
Λέξεις-κλειδιά
Adenine/administration & dosage/analogs & derivatives/therapeutic use, Adolescent, Adult, Aged, Antiviral Agents/administration & dosage/therapeutic use, Colitis, Ulcerative/complications/epidemiology, Crohn Disease/complications/epidemiology, Drug Therapy, Combination, Female, Greece/epidemiology, Hepatitis B/*complications/drug therapy/epidemiology, Hepatitis C/*complications/drug therapy/epidemiology, Humans, Inflammatory Bowel Diseases/*complications/epidemiology, Interferon-alpha/administration & dosage/therapeutic use, Lamivudine/administration & dosage/therapeutic use, Male, Middle Aged, Phosphonic Acids/administration & dosage/therapeutic use, Prevalence, Retrospective Studies, Ribavirin/administration & dosage/therapeutic use, Treatment Outcome
Θεματική κατηγορία
Παραπομπή
Σύνδεσμος
http://www.ncbi.nlm.nih.gov/pubmed/21122543
http://ac.els-cdn.com/S1873994610000462/1-s2.0-S1873994610000462-main.pdf?_tid=1650b68f06de7294d70bb01da4b5d98f&acdnat=1333962285_296b20186fa7e86218dee85625b8c296
http://ac.els-cdn.com/S1873994610000462/1-s2.0-S1873994610000462-main.pdf?_tid=1650b68f06de7294d70bb01da4b5d98f&acdnat=1333962285_296b20186fa7e86218dee85625b8c296
Γλώσσα
en
Εκδίδον τμήμα/τομέας
Όνομα επιβλέποντος
Εξεταστική επιτροπή
Γενική Περιγραφή / Σχόλια
Ίδρυμα και Σχολή/Τμήμα του υποβάλλοντος
Πανεπιστήμιο Ιωαννίνων. Σχολή Επιστημών Υγείας. Τμήμα Ιατρικής